CMS Price Transparency Data

Occupational therapy (self-care training)

Facility: Elkhart General Hospital

Billing Code: 97535 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$30
about 0.9× the $32 Medicare rate · typically $30–$97
modeled estimate · not a bill or quote
What this hospital charges insurers
$31
About the fair price
about $1 over the fair price · 1.0× Medicare
Medicare pays $32 Fair price $30 This hospital $31 Cash price $92 Hospital's list price $142

How we calculate the fair BaseRate →

How this hospital compares to other IN hospitals

Highest price of the 9 IN hospitals we have prices for — worth calling around.

Cheapest $25 Priciest $31

Black dot = this hospital, among the 9 IN hospitals with a price for this procedure. Full list below.

A fair price for a Occupational therapy (self-care training) is about $30 (about 0.9× the $32 Medicare rate). Elkhart General Hospital charges insurers about $31, or about $92 in cash — about the fair price. Located in Elkhart, IN.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $16 - $95 49%
Blue Cross Blue Shieldmajor $26 - $58 80%
Aetnamajor $31 - $96 96%
Cignamajor $102 - $108 315%
Humanamajor $31 - $99 96%
CareSource $49 - $185 151%
Devoted Health $28 - $32 86%
+ 9 smaller / regional plans $16 - $185
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 600 E Blvd, Elkhart, IN 46514
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals